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Handbook Customer

Associate Requirements

How to Claim & Requirements

Policy Administration - Individual

Life insurance

Health Insurance

Handbook Customer

How to Claim & Requirements

COB (Coordination of Benefit) Form

Procedure for Filing a Claim

Life Insurance Claim Submission Requirements - Group

Life Insurance Claim Submission Requirements - Individual

Health Insurance Claim Submission Requirements

Policy Administration - Individual

Policy Application Process and Procedures

Data Update Form

Policy Recovery Application Form

Policy Close Form (Surrender & COP)

Fund Addition Form (Top Up) & Changes in Allocation of Investment Funds (Switching/Redirection)

Partial Fund Withdrawal Form

Loan & Policy Loan Repayment Form

Reprint Form

Premium Leave Submission/Termination Form

Heir Change Form

Rider Change, Insurance Money, Periodic Top Up and Premium Payment Period Form

Premium Payment Method Change Form

Insured Personal Data Change Form

Policyholder Personal Data Change Form

Power of Attorney Application Form

Life insurance

Life Insurance Application Form (SPAJ)

Health Insurance Application Form

Unit Link Life Insurance Application Form

Traditional Life Insurance Application Form

Saving Prima Life Insurance Application Form

Personal Accident Combo Life Insurance Application Form

Annuity Application Letter

Letter of Claim Application - Individual

Power of Attorney for Medical Record Exposure - Individual

Life Insurance Credit Death Claim Form

Individual Life Insurance Death Claim Form

Micro Insurance Claim Form

Total Permanent Disability Form

Doctor's Certificate, Death Claim - Individual

Total Incapacity Claim Submission Form - Group

Health Insurance

Customer Walk-in Claim Submission Form

Reimbursement Claim Submission Form - Individual

Inpatient Claim Form

25-Minute Claim Submission Form

Reimbursement Claim Submission Form - Group

BNI Employee Claim Submission Form

Outpatient Claim Form

PT BNI Life Insurance

Centennial Tower, 11th Floor
Jl. Gatot Subroto, Kav. 24-25
Jakarta 12930, Indonesia

Contact Center 1-500-045

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Application :

Handbook Customer

Associate Requirements

How to Claim & Requirements

Policy Administration - Individual

Life insurance

Health Insurance

Protection

Contact

Service

Programs

Portal

About Us